Provider Demographics
NPI:1194881664
Name:KAPLAN, M. LAWRENCE (MD)
Entity type:Individual
Prefix:DR
First Name:M.
Middle Name:LAWRENCE
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:M.
Other - Middle Name:LAWRENCE
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1707 CEDARHILL PL
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4029
Mailing Address - Country:US
Mailing Address - Phone:407-333-4383
Mailing Address - Fax:
Practice Address - Street 1:1707 CEDARHILL PL
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-4029
Practice Address - Country:US
Practice Address - Phone:407-333-4383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0043227207P00000X
FLME43227207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272402200Medicaid
FL59951OtherBCBS
FL59951Medicare PIN
FL59951OtherBCBS
FLD57081Medicare UPIN